Kevin C Miyasato, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Beaverton, Oregon. His current practice location is
12725 Sw Millikan Way, Suite 300, Beaverton, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 906-7870.
Kevin C Miyasato is licensed to practice in Oregon (license number 5855) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184902504.
Healthcare Provider's Profile
Full Name | Kevin C Miyasato |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 12725 Sw Millikan Way, Beaverton, Oregon |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kevin C Miyasato attended and graduated from in
NPI Data:
- NPI Number: 1184902504
- Provider Enumeration Date: 08/02/2011
- Last Update Date: 06/06/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kevin C Miyasato such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184902504 | NPI | - | NPPES |
500670052 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 00686 (Nevada) | Secondary |
1041C0700X | Social Worker - Clinical | 5214-S (Nevada) | Secondary |
1041C0700X | Social Worker - Clinical | 5855 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin C Miyasato is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kevin C Miyasato, LCSW 12725 Sw Millikan Way, Suite 300, Beaverton, OR 97005-1678 Ph: (503) 906-7870 | Kevin C Miyasato, LCSW 12725 Sw Millikan Way, Suite 300, Beaverton, OR 97005-1678 Ph: (503) 906-7870 |
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